A pediatric therapy company operating in San Francisco and the greater Bay Area. We provide physical, occupational, speech and aquatic therapy services in the most beneficial and convenient setting for you and your child, including our clinic, currently located in San Mateo, your home, school or daycare.

Kneeling: Exploring New Heights

Kneeling is a great position to help progress developmental milestones, as well as a way to work on strengthening hips and core. Depending on the activity it can also be a great way to work on arm strength.

Getting into kneeling allows kids to work on transitional movements, provides a new way for sitting, lets them explore balance and balance reactions, is a precursor for activities like climbing and pulling to stand, and it lets them see whats on a level above the floor providing them a different way to engage with their environment and toys.

Here are some ideas for kneeling:

Unstable – Use something that isn’t stable such as a cylindrical toy, a foam roller, a ball, or even a push toy. All of these will vary in their instability and you can also create some stability by holding it still while they get used to it. This allows them to play with flexing and extending their hips, weight bearing through their arms, activating their core for balance reactions as they try to find midline or a place of stability by moving the object forward and backwards. A toy like this one also has the added fun of sound!

At a higher surface – You can find a surface that is not too high and not too low. It can provide stability to allow them to play with their toys or even bang on the surface. With this they are learning balance also. Every time they lift their hand or engage with their toy they need to find a way to stay stable or they run the risk of toppling over and not being able to play. Once they start to learn that toys and fun are up off the floor this can lead to exploring and figuring out how to get into kneeling!

Transitions – Kneeling is also a great position to be able to transition into various positions. As you can see in the pictures kids can use kneeling as a way to play and to move into other positions. Set up toys around your child that they have to manipulate or move and weight shift to be able to access. Let them explore their movement and problem solve how to best interact with the toys. You can help them by showing them how to get into a kneeling position and see what they do from there.

There are lots of ways to modify these activities (and tons more that I’m sure I’ll think of as soon as this goes live!). I would love to hear how you incorporate kneeling into your child’s play!

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I could see the progress being made in my son’s communication and overall disposition. Not only were the classes fun, but he also became a lot less frustrated when trying to communicate with others.”

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We have been working with Starfish Therapies over the last year, and my four year-old has made incredible progress in her gross motor development. Stacy has an amazing ability to work with children. She uses her energy, humor and creativity to make children laugh and play, and at the same time work very hard.”